<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">


    <!-- <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Category')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="form-inline" data-toggle="cxselect" data-selects="first_cate,two_cate">
                <select class="first_cate form-control" data-rule="required" name="row[first_cate]"
                    data-url="ajax/goods_category?pid=0"></select>
                <select class="two_cate form-control" data-rule="required" name="row[two_cate]" data-url="ajax/goods_category"
                    data-query-name="pid"></select>
            </div>
        </div>
    </div> -->
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('授权区域')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class='control-relative'><input id="c-address" class="form-control" data-toggle="city-picker"
                    name="row[address]" type="text"></div>
        </div>
    </div>

    
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>